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1396791901
LOMA LINDA UNIV UROLOGY MEDICAL GROUP INC
LOMA LINDA, CA
NPI
1396791901
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Entity Type
Organization
Authorized Contact
HERBERT RUCKLE
President Llu Urology Medical Group
909-558-2830
Organization Subpart ?
No
Primary Taxonomy
208800000X Urology
Enumeration Date
2006-05-25
Last Update Date
2020-08-22
Business Address
LOMA LINDA UNIV UROLOGY MEDICAL GROUP INC
11370 ANDERSON ST STE 1100
LOMA LINDA, CA 92354
Phone number: 909-558-2830
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Mailing Address
LOMA LINDA UNIV UROLOGY MEDICAL GROUP INC
FILE NUMBER 54701
LOS ANGELES, CA 90074-4701
Phone number: 909-558-3111
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